24D2097966 CLIA NUMBER - WALMART PHARMACY 10-2643

Laboratory Demographics

  • CLIA Code: 24D2097966
  • Facility Name: WALMART PHARMACY 10-2643
  • Facility Address: 10240 HUDSON RD
    WOODBURY, MN
    ZIP 55129
  • Facility Phone: 651 735-5190
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CHELSY HALL
  • NPI Number: 1528085925
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2097966
LAB Type Pharmacy
Facility Name WALMART PHARMACY 10-2643
Street 10240 HUDSON RD
City WOODBURY
State MN
ZIP 55129
Phone 651 735-5190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Pharmacy
Lab Director CHELSY HALL

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This page was last updated on: 9/29/2025